Organization
AH, LLC
Active
Other names
Anderson House
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PAMELA S. MATIKO RN (ADMINISTRATOR/MEMBER)
(206) 364-7131
Entity
Organization
Contact information
Practice address
17127 15TH AVE NE, SHORELINE, WA 98155-5127
(206) 364-7131
(206) 361-8262
Mailing address
17127 15TH AVE NE, SHORELINE, WA 98155-5127
(206) 364-7131
(206) 361-8262
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH 1328
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
603094005
GROUP HEALTH
WA
Enumeration date
10/10/2005
Last updated
10/28/2011
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